TREACE MEDICAL CONCEPTS, INC.
Business
TREACE MEDICAL CONCEPTS, INC. is a medical technology company focused on advancing surgical treatment for bunion and related midfoot deformities. It develops and commercializes procedure-specific instruments, implants and surgical systems, including the Lapiplasty 3D Bunion Correction System, Adductoplasty, SpeedPlate fixation, Nanoplasty, Percuplasty, Hammertoe PEEK implants and IntelliGuide patient‑specific planning tools, together with surgeon training and patient education programs. The business is organized around product systems, clinical research and surgeon education supported by a Surgeon Advisory Board. It markets primarily in the United States through a direct sales force and independent agencies to foot and ankle surgeons, hospitals and ambulatory surgery centers, and uses direct‑to‑patient outreach and online tools.
Summary from filing dated 2025-02-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 213 | 209 | 187 | 142 | 94 | |
| Cost of goods sold | 43 | 41 | 35 | 26 | 17 | |
| Gross profit | 170 | 168 | 152 | 116 | 78 | |
| Sales and marketing | 141 | 148 | 141 | 105 | 65 | |
| Research and development | 20 | 21 | 15 | 14 | 10 | |
| General and administrative | 63 | 56 | 47 | 33 | 18 | |
| Total operating expenses | 224 | 224 | 203 | 151 | 94 | |
| Loss from operations | −54 | −56 | −51 | −35 | −17 | |
| Interest income | 3 | 5 | 7 | 1 | 17,000 | |
| Interest expense | −5 | −5 | −5 | −4 | −4 | |
| Debt extinguishment loss | −3 | 0 | 0 | −4 | 0 | |
| Other income, net | 432,000 | 324,000 | 342,000 | −403,000 | 1,000 | |
| Other non-operating income (expense), net | −5 | −55,000 | 2 | −8 | −4 | |
| Net loss | −59 | −56 | −50 | −43 | −21 | |
| Unrealized gain (loss) on marketable securities | −25,000 | −66,000 | 190,000 | −27,000 | 0 | |
| Comprehensive loss | −59 | −56 | −49 | −43 | −21 | |
| Net loss per share, basic | −0.93 | −0.9 | −0.81 | −0.77 | −0.43 | |
| Net loss per share, diluted | −0.93 | −0.9 | −0.81 | −0.77 | −0.43 | |
| Weighted-average shares used in computing net loss per share, basic | 63 | 62 | 61 | 55 | 48 | |
| Weighted-average shares used in computing net loss per share, diluted | 63 | 62 | 61 | 55 | 48 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 11 | 11 | 13 | 19 | 106 | |
| Marketable securities, short-term | 38 | 64 | 110 | 62 | 0 | |
| Accounts receivable, net of allowance for credit losses of $1,824 and $1,326 as of December 31, 2025 and December 31, 2024, respectively | 42 | 41 | 38 | 29 | 19 | |
| Inventories | 36 | 39 | 29 | 19 | 11 | |
| Prepaid expenses and other current assets | 6 | 6 | 8 | 4 | 3 | |
| Total current assets | 132 | 161 | 198 | 133 | 138 | |
| Property and equipment, net | 30 | 26 | 22 | 15 | 3 | |
| IIntangible assets, net of accumulated amortization of $2,375 and $1,425 as of December 31, 2025 and December 31, 2024, respectively | 7 | 8 | 9 | 0 | — | |
| Goodwill | 13 | 13 | 13 | 0 | — | |
| Operating lease right-of-use assets | 8 | 8 | 9 | 10 | 2 | |
| Other non-current assets, net of allowance for credit losses of $69 and $69 as of December 31, 2025 and December 31, 2024, respectively | 1 | 407,000 | 146,000 | 146,000 | 0 | |
| Total assets | 191 | 217 | 252 | 159 | 141 | |
| Accounts payable | 7 | 11 | 12 | 9 | 4 | |
| Accrued liabilities | 6 | 7 | 10 | 6 | 5 | |
| Accrued commissions | 9 | 10 | 11 | 7 | 5 | |
| Accrued compensation | 6 | 7 | 8 | 8 | 4 | |
| Other liabilities | 2 | 510,000 | 4 | 339,000 | — | |
| Total current liabilities | 31 | 35 | 45 | 30 | 18 | |
| Long-term debt, net | 56 | 53 | 53 | 53 | 29 | |
| Operating lease liabilities, net of current portion | 14 | 16 | 16 | 16 | 0 | |
| Other long-term liabilities | 3 | 37,000 | 37,000 | 0 | — | |
| Total liabilities | 103 | 104 | 114 | 98 | 48 | |
| Commitments and contingencies (Note 8) | — | — | — | — | — | |
| Preferred stock, $0.001 par value, 5,000,000 shares authorized as of December 31, 2025 and December 31, 2024; 0 shares issued as of December 31, 2025 and December 31, 2024 | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.001 par value, 300,000,000 shares authorized; 64,029,378 and 62,385,101 shares issued as of December 31, 2025 and December 31, 2024, respectively | 64,000 | 62,000 | 62,000 | 55,000 | 45,000 | |
| Additional paid-in capital | 337 | 303 | 272 | 145 | 135 | |
| Accumulated deficit | −249 | −190 | −134 | −85 | −42 | |
| Accumulated other comprehensive income (loss) | 72,000 | 97,000 | 163,000 | −27,000 | 0 | |
| Treasury stock, at cost; 165,513 and 23,391 shares as of December 31, 2025 and December 31, 2024, respectively | −1 | −281,000 | −13,000 | 0 | — | |
| Total stockholders equity | 87 | 113 | 138 | 61 | 93 | |
| Total liabilities and stockholders equity | 191 | 217 | 252 | 159 | 141 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net loss | −59 | −56 | −50 | −43 | −21 | |
| Depreciation and amortization expense | 11 | 8 | 5 | 2 | 685,000 | |
| Provision for allowance for credit losses | 834,000 | 3 | 434,000 | — | — | |
| Share-based compensation expense | 34 | 31 | 17 | 8 | 3 | |
| Non-cash lease expense | 2 | 2 | 2 | 3 | 0 | |
| Amortization of debt issuance costs | 292,000 | 298,000 | 297,000 | 244,000 | 176,000 | |
| Debt extinguishment loss | 3 | 0 | 0 | 4 | 0 | |
| Amortization (accretion) of premium (discount) on marketable securities, net | −123,000 | −1 | −1 | −126,000 | 0 | |
| Other, net | 1 | 538,000 | 205,000 | 25,000 | 0 | |
| Accounts receivable | −2 | −6 | −9 | −11 | −4 | |
| Inventory | 3 | −10 | −10 | −9 | −3 | |
| Prepaid expenses and other assets | 166,000 | 2 | −1 | −668,000 | −2 | |
| Other non-current assets | −503,000 | −330,000 | 0 | −146,000 | 0 | |
| Operating lease liabilities | −3 | −2 | −119,000 | 3 | 0 | |
| Accounts payable | −4 | −1 | 3 | 5 | 2 | |
| Accrued liabilities | −2 | −8 | 8 | 7 | 7 | |
| Other, net | 35,000 | 97,000 | 40,000 | 0 | 0 | |
| Net cash provided by (used in) operating activities | −16 | −37 | −35 | −31 | −17 | |
| Purchases of available-for-sale marketable securities | −41 | −72 | −170 | −63 | 0 | |
| Sales and maturities of available-for-sale marketable securities | 67 | 119 | 120 | 2 | 0 | |
| Purchases of property and equipment | −14 | −12 | −11 | −15 | −3 | |
| Acquisition, net of cash acquired | 0 | 0 | −20 | 0 | 0 | |
| Net cash provided by (used in) investing activities | 13 | 35 | −81 | −77 | −3 | |
| Proceeds from interest bearing term debt | 59 | 0 | 0 | 50 | 0 | |
| Proceeds from insurance premium financing | 2 | 0 | 0 | — | — | |
| Debt issuance costs | −1 | 0 | 0 | −989,000 | 0 | |
| Payments on interest bearing term and revolving debt | −56 | 0 | 0 | — | — | |
| Payments on insurance premium financing | −916,000 | 0 | 0 | — | — | |
| Proceeds from issuance of common stock from public offering, net of issuance costs and underwriting discount of $7.5 million | 0 | 0 | 108 | 0 | 108 | |
| Proceeds from exercise of employee stock options | 546,000 | 428,000 | 2 | 2 | 2 | |
| Taxes from withheld shares | −902,000 | −268,000 | −13,000 | 0 | 0 | |
| Net cash provided by (used in) financing activities | 2 | 160,000 | 109 | 21 | 108 | |
| Net increase (decrease) in cash and cash equivalents | −642,000 | −2 | −6 | −86 | 88 | |
| Cash paid for interest | 5 | 5 | 5 | 4 | 4 | |
| Operating lease right-of-use asset and lease liability adjustment due to lease incentive | 0 | 8,000 | −22,000 | 4 | 0 | |
| Unsettled matured marketable security and receivable from broker | 0 | 0 | 3 | 0 | 0 | |
| Noncash portion of internally developed software | 0 | 0 | −11,000 | 0 | 0 | |
| Legal cost financing | 1 | 0 | 0 | — | — |